Active NPIIndividual provider

Nolan Mathew K Sucdad, OTD, OTR/L

Occupational Therapist in Bergenfield, New Jersey

NPI Number1992467609
Practice location
18 New Jersey Ave, Bergenfield, NJ 07621-1325
Fax
—
Last updated
October 10, 2021

Nolan Mathew Killip Sucdad is an Occupational Therapist based in Bergenfield, NJ. Nolan Mathew Killip Sucdad practices in Bergenfield, NJ and has the professional credentials of OTD, OTR/L. The NPI Number for Nolan Mathew Killip Sucdad is 1992467609 and holds a License No. 21972 (CA). The current practice location address for Nolan Mathew Killip Sucdad is 18 New Jersey Ave, Bergenfield, NJ 07621-1325 and can be reached out via phone at 201-384-4257.

Provider Profile Details

NPI Number
1992467609
Provider Name
Nolan Mathew Killip Sucdad
Credential
OTD, OTR/L
Provider Entity Type
Individual
Gender
Male
Address
18 New Jersey Ave, Bergenfield, NJ 07621-1325
Phone Number
201-384-4257
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2021
Last Update Date
October 10, 2021
Certification Date
October 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 New Jersey Ave
Bergenfield, NJ 07621-1325
Zip
07621-1325
Phone Number
201-384-4257
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
18 New Jersey Ave
Bergenfield, NJ 07621-1325
City
Bergenfield
State
NJ
Zip
07621-1325

License Information

License Number
21972
License State
CA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nolan Mathew K Sucdad, OTD, OTR/L?

The NPI number of Nolan Mathew K Sucdad, OTD, OTR/L is 1992467609. It was assigned on October 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Nolan Mathew K Sucdad, OTD, OTR/L?

Nolan Mathew K Sucdad, OTD, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CA under license number 21972.

Where does Nolan Mathew K Sucdad, OTD, OTR/L practice?

The practice location is 18 New Jersey Ave, Bergenfield, NJ 07621-1325. The office can be reached at 201-384-4257 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992467609 directly on the NPPES registry website.

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